| NPI | 1144859091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 208800000X Urology (Licence: KY 62178) |
| Enumeration Date | 2020-04-03 |
| Last Update Date | 2026-07-31 |